Predictors of Sexually Transmitted Infection Positivity Among Substance-Using Native American Adults.
Journal
Sexually transmitted diseases
ISSN: 1537-4521
Titre abrégé: Sex Transm Dis
Pays: United States
ID NLM: 7705941
Informations de publication
Date de publication:
04 2020
04 2020
Historique:
pubmed:
11
1
2020
medline:
16
3
2021
entrez:
11
1
2020
Statut:
ppublish
Résumé
Sexually transmitted infections (STIs) are a public health crisis with Native Americans suffering a high burden of disease. Studies across gender and racial/ethnic groups have found varying risk factors associated with STI positivity. Understanding how risk factors are associated with STI positivity can help design interventions for those most at risk. Participants were Native American binge substance using adults enrolled in a randomized controlled trial evaluating a brief intervention to increase STI screening and reduce sexual risk-taking behaviors. Participants completed a self-report assessment at baseline that included questions about sexual risk factors and STI testing behaviors and diagnosis. This analysis includes those who had ever completed an STI test at baseline. Bivariate and multivariate analyses using logistical regression were utilized to identify associations between risk factors and past STI diagnosis. A total of 193 people were included in the analysis. Over half (50.6%) of the participants had ever been diagnosed with an STI. Risk behaviors varied by gender. More women with a self-reported history of STI reported having sex with someone they thought had an STI, past experience of physical/sexual violence, and having passed out from drinking. Men with a self-reported history of STI were more likely to report past marijuana and other drug use. Among women with a self-reported history of STI, having sex with someone they thought had an STI was associated with STI positivity, whereas other drug use was associated with STI positivity among men with a self-reported history of STI. Findings provide information for those working to reduce STIs in Native Communities to better identify and design programs for those at highest risk for STIs. Additional studies examining gender dynamics and sexual risk taking among native adults are warranted.
Sections du résumé
BACKGROUND
Sexually transmitted infections (STIs) are a public health crisis with Native Americans suffering a high burden of disease. Studies across gender and racial/ethnic groups have found varying risk factors associated with STI positivity. Understanding how risk factors are associated with STI positivity can help design interventions for those most at risk.
METHODS
Participants were Native American binge substance using adults enrolled in a randomized controlled trial evaluating a brief intervention to increase STI screening and reduce sexual risk-taking behaviors. Participants completed a self-report assessment at baseline that included questions about sexual risk factors and STI testing behaviors and diagnosis. This analysis includes those who had ever completed an STI test at baseline. Bivariate and multivariate analyses using logistical regression were utilized to identify associations between risk factors and past STI diagnosis.
RESULTS
A total of 193 people were included in the analysis. Over half (50.6%) of the participants had ever been diagnosed with an STI. Risk behaviors varied by gender. More women with a self-reported history of STI reported having sex with someone they thought had an STI, past experience of physical/sexual violence, and having passed out from drinking. Men with a self-reported history of STI were more likely to report past marijuana and other drug use. Among women with a self-reported history of STI, having sex with someone they thought had an STI was associated with STI positivity, whereas other drug use was associated with STI positivity among men with a self-reported history of STI.
CONCLUSIONS
Findings provide information for those working to reduce STIs in Native Communities to better identify and design programs for those at highest risk for STIs. Additional studies examining gender dynamics and sexual risk taking among native adults are warranted.
Identifiants
pubmed: 31923137
doi: 10.1097/OLQ.0000000000001129
pii: 00007435-202004000-00001
doi:
Types de publication
Journal Article
Research Support, N.I.H., Extramural
Langues
eng
Sous-ensembles de citation
IM
Pagination
211-216Références
Centers for Disease Control and Prevention (CDC). STDs & infertility. Sexually Transmitted Diseases (STDs) Web site. https://www.cdc.gov/std/infertility/default.htm. Updated October 30, 2013.
Centers for Disease Control and Prevention (CDC). New CDC analysis shows steep and sustained increases in STDs in recent years. NCHHSTP Newsroom Web site. https://www.cdc.gov/nchhstp/newsroom/2018/press-release-2018-std-prevention-conference.html. Published August 28, 2018.
Kidd SE, Grey JA, Torrone EA, et al. Increased methamphetamine, injection drug, and heroin use among women and heterosexual men with primary and secondary syphilis—United States, 2013–2017. MMWR Morb Mortal Wkly Rep 2019; 68:144–148.
Satterwhite CL, Torrone E, Meites E, et al. Sexually transmitted infections among US women and men: Prevalence and incidence estimates, 2008. Sex Transm Dis 2013; 40:187–193.
Shrestha R, Karki P, Copenhaver M. Early sexual debut: A risk factor for STIs/HIV acquisition among a nationally representative sample of adults in Nepal. J Community Health 2016; 41:70–77.
Falasinnu T, Gilbert M, Hottes TS, et al. Predictors identifying those at increased risk for STDs: A theory-guided review of empirical literature and clinical guidelines. Int J STD AIDS 2015; 26:839–851.
Ward J, Wand H, Bryant J, et al. Prevalence and correlates of a diagnosis of sexually transmitted infection among young aboriginal and Torres Strait Islander people: A national survey. Sex Transm Dis 2016; 43:177–184.
Senn TE, Carey MP, Vanable PA. Childhood and adolescent sexual abuse and subsequent sexual risk behavior: Evidence from controlled studies, methodological critique, and suggestions for research. Clin Psychol Rev 2008; 28:711–735.
Freeman RC, Parillo KM, Collier K, et al. Child and adolescent sexual abuse history in a sample of 1,490 women sexual partners of injection drug-using men. Women Health 2001; 34:31–49.
Coker AL. Does physical intimate partner violence affect sexual health? A systematic review. Trauma Violence Abuse 2007; 8:149–177.
Parish WL, Wang T, Laumann EO, et al. Intimate partner violence in China: National prevalence, risk factors and associated health problems. Int Fam Plan Perspect 2004; 30:174–181.
Centers for Disease Control and Prevention (CDC). STDs in Racial and Ethnic Minorities. Sexually Transmitted Disease Surveillance 2017. Web site. https://www.cdc.gov/std/stats17/minorities.htm. Accessed April 9, 2019.
Wand H, Ward J, Bryant J, et al. Individual and population level impacts of illicit drug use, sexual risk behaviours on sexually transmitted infections among young aboriginal and Torres Strait Islander people: Results from the GOANNA survey. BMC Public Health 2016; 16:600.
Devries KM, Free CJ, Morison L, et al. Factors associated with pregnancy and STI among aboriginal students in British Columbia. Can J Public Health 2009; 100:226–230.
Chambers R, Tingey L, Beach A, et al. Testing the efficacy of a brief sexual risk reduction intervention among high-risk American Indian adults: Study protocol for a randomized controlled trial. BMC Public Health 2016; 16.
StataCorp. Stata statistical software: Release 14 2015.
Smartlowit-Briggs L, Pearson C, Whitefoot P, et al. Community-based assessment to inform a chlamydia screening program for women in a rural American Indian community. Sex Transm Dis 2016; 43:390–395.
Morrison-Beedy D, Carey MP, Lewis BP, et al. HIV risk behavior and psychological correlates among native American women: An exploratory investigation. J Womens Health Gend Based Med 2001; 10:487–494.
Winscott M, Taylor M, Kenney K. Sexually transmitted diseases among American Indians in Arizona: An important public health disparity. Public Health Rep 2010; 125(Suppl 4):51–60.
Devries KM, Free C. 'I told him not to use condoms': Masculinities, femininities and sexual health of aboriginal Canadian young people. Sociol Health Illn 2010; 32:827–842.
Haberland NA. The case for addressing gender and power in sexuality and HIV education: A comprehensive review of evaluation studies. Int Perspect Sex Reprod Health 2015; 41:31–42.
Ballard ED, Musci RJ, Tingey L, et al. Latent class analysis of substance use and aggressive behavior in reservation-based American Indian youth who attempted suicide. Am Indian Alsk Native Ment Health Res 2015; 22:77–94.
Centers for Disease Control and Prevention (CDC). American Indians and Alaska natives. Health Disparities in HIV/AIDS, Viral Hepatitis, STDs, and TB Web site. https://www.cdc.gov/nchhstp/healthdisparities/americanindians.html. Updated March 14, 2014.
Thompson RG, Auslander WF. Substance use and mental health problems as predictors of HIV sexual risk behaviors among adolescents in foster care. Health Soc Work 2011; 36:33–43.
Graves KL, Leigh BC. The relationship of substance use to sexual activity among young adults in the United States. Fam Plann Perspect 1995; 27:18–22, 33.
Ericksen KP, Trocki KF. Sex, alcohol and sexually transmitted diseases: A national survey. Fam Plann Perspect 1994; 26:257–263.